Postage Statement — First-Class Mail — Easy Nonautomation ...

United States Postal Service
Postage Statement — First-Class Mail — Easy
Nonautomation Letters, Cards, or Flats
This form may be used only for a single nonautomation rate mailing of identical-weight pieces. Use PS Form 3600-R for all other First-Class Mail mailings. Checklists and other tools for
mailers are available on the Postal Explorer website at pe.usps.com.
Permit Holder's Name and Address and Telephone
Post Office of Mailing
Permit No.
Email Address, if Any
Type of
Postage
Mailing Date
Permit Imprint
Precanceled Stamps
Metered
Fed. Agency Code
Statement Seq. No.
Post Office: Note Mail Arrival Date & Time
Weight of a Single Piece
0 . ___ ___ ___ ___ ___ pound
Number and Type of Containers
Customer No.
Cards Eligible for Card
Rates
Category
Postage
Processing Category
Letters (including card rate)
Presort Level
Flats
B1. Presorted .241 x
B2. Single Piece
Rate
.260 x
Total Pieces Total Weight
Number of
Pieces
Total
Letters
Postage
B3. Presorted
B4. Single Piece
x
x
Flats
Postage
B5. Presorted
B6. Single Piece
x
x
Total Postage (Add parts totals)
Rate at Which Postage Affixed (Check one)
Correct Lowest Neither _________ pcs. x $ _____ . ______ = Postage Affixed
Net Postage Due (Subtract postage affixed from total postage)
For USPS Use Only: Additional Postage Payment (State reason)
For postage affixed add additional payment to net postage due;
for permit imprint add additional payment to total postage.
Total Adjusted Postage Affixed
Postmaster: Report Total Postage in
(Permit imprint only).
AIC 121
Total Adjusted Postage Permit Imprint
The mailer's signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject
to appeal. If an agent signs this form, the agent certifies that he or she is authorized to sign on behalf of the mailer and that the mailer is
bound by the certification and agrees to pay any deficiencies. In addtion, agents may be liable for any deficiencies resulting from matters
within their responsibility, knowledge, or control. The mailer hereby certifies that all information furnished on this form is accurate, truthful
and complete; that the mail and supporting documentation comply with all postal standards and the mailing qualifies for the rates and fees
claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes
false or misleading information on this form or who omits information requested on this form may be subject to criminal and/or civil
penalties, including fines and imprisonment. Privacy Notice: For information regarding our Privacy Policy visit www.usps.com.
Signature of Mailer or Agent Printed Name of Mailer or Agent Signing Form
Telephone
Weight of a Single Piece
0 . ___ ___ ___ ___ pound
Are postage figures at left adjusted from mailer's entries If yes, reason:
Yes
No
Total Pieces
Total Weight
Total Postage
Presort Verification Performed (Check one)
Yes
No
Date Mailer Notified
Contact
By (Initials)
I CERTIFY that this mailing has been inspected concerning: (1) eligibility for postage rates claimed; (2) proper preparation (and presort where
required); (3) proper completion of postage statement; and (4) payment of required annual fee.
Round Stamp (Required)
Verifying Employee's Signature
Print Verifying Employee's Name
Time
AM
PM
PS Form 3600-EZ, May 2007 PSN 7530-07-000-6220
This form and mailing standards available on Postal Explorer at pe.usps.com.

First-Class Mail EZ — Instructions
Use this form for nonautomation letters or flats at First-Class Mail rates or for cards eligible for card
rates for First-Class Mail only. (Use PS Form 3600-R for Priority Mail rates).
Step 1: Complete the Mailer and Mailing sections.
Step 2: Complete the Postage section for the applicable category - Letters or Flats, or Cards Eligible
for Card Rates, as follows:
Determine the per-piece rate for Letters or Flats based on the weight of a single piece and the
presort level.
Determine the per-piece rate for Cards Eligible for Card Rates, presorted or single piece.
Multiply the number of pieces by the corresponding postage rate. (Permit Imprint mailings,
round off to four decimal places; Postage Affixed mailings, round off to three decimal places).
Step 3: Add the postage (lines B1 and B2 for cards; lines B3 and B4 for letters; lines B5 and B6 for
flats). Enter sum in Total Postage, rounded off to two decimal places.
Step 4: Postage Affixed mailings complete the Postage Affixed line. (Permit Imprint go to Step 5).
Check the applicable box, Rate at Which Postage Affixed - Correct, Lowest, or Neither.
Multiply the number of pieces times the actual amount of postage affixed.
Enter the result in the Total column.
Subtract the amount of Postage Affixed from the Total Postage and enter the remainder in Net
Postage Due.
Step 5: Read and sign Certification section, including your telephone number.
Information: For more information on mailing standards, rates, and fees please go to Postal Explorer
at pe.usps.com.
PS Form 3600-EZ, May 2007 (Instructions)